IndividualActive
Jack Jacobs, PT/DPT
NPI 1245474774 · Geriatric Physical Therapist · Louisville, KY
Provider details
- NPI number
- 1245474774
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT/DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 005251 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2000 Newburg Rd
Louisville, KY 40205-1803
Phone: (502) 459-9681
Fax: (502) 479-2501
Approximate (ZIP-level) locationGet directions
Mailing address
1900 Arboro Pl
Louisville, KY 40220-3576
Registry dates
- Enumerated
- 2009-04-28
- Last updated
- 2009-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.